Please enable JavaScript in your browser to complete this form.
Granter's Address
Proxy's Address
Agreement
By way of this proxy, I grant permission to the individual listed in the "Proxy's Name" field to act on my behalf in the event of my absence.

Seeking a simple proxy form template to easily designate a trusted individual to act on your behalf for votes or other decisions?

WPForms offers a straightforward solution, perfect for those who desire quick yet effective proxy forms for their WordPress sites.

The template is easy to use and embeds on your site within minutes so that you can name a proxy to take action on your behalf.

What Is a Simple Proxy Form Template?

A simple proxy form collects your name and basic contact info, as well as the name and contact info of the person you wish to name as your proxy. This designated proxy is trusted to act or even vote on your behalf in various situations.

Typically, someone will name a proxy to vote for them in small organizational matters. Although you can’t designate a proxy to vote for you in national elections, you can designate a proxy to attend your Home Owner’s Association.

Need someone to represent your interests at a neighborhood gathering or local civic club meeting and vote on your behalf? With our proxy form template, you can seamlessly and officially delegate this task.

It’s important to note however that in order for it to be official, the proxy must be named ahead of time and the form submitted to the organization taking a vote. They must give the final approval on the proxy vote.

How Do I Create a Proxy Form?

Geographically, our forms are versatile. Whether you need a proxy form template for  South Africa or one for Micronesia, this easy proxy template is adaptable. For clarity, our sample proxy form includes the following fields:

  • Granter’s Name: The full legal name of the individual granting proxy rights.
  • Granter’s Email: The primary contact email address of the person granting proxy.
  • Granter’s Address: The mailing address of the individual granting proxy rights.
  • Proxy’s Name: The full name of the individual being designated as the proxy.
  • Proxy’s Email: The main email contact of the designated proxy.
  • Proxy’s Address: The residence or mailing location of the proxy.
  • Agreement: A checkbox confirming consent for the proxy on the granter’s behalf.
  • Additional Comments: Space for any specifics about the proxy agreement.

Use WPForms’ Simply Proxy Form Template

The simple proxy form template is general enough to make it work for any kind of proxy activity, or you can customize it to suit a specific need.

Remember that all WPForms templates are 100% customizable. You can use our simple drag-and-drop form builder to add, edit, or remove form fields as required.

Get started with WPForms today to create and customize your own proxy form. Signing up with WPForms gives you access to this and hundreds of other pre-made templates!